Evidence map›Paper›PMID 41063047›Full record

SynthesisBMC oral health2025

Oral health interventions and strategies delivered by care workers to older people living in care homes: an overview of systematic reviews.

Julia Csikar, Sakina Edwebi, Karen Vinall-Collier, Alys Wyn Griffiths, Reena Devi, Judy Wright, Paul Wilson, Karen Spilsbury, Gail Va Douglas

Abstract readReviewSystematic Review
In one paragraph

Synthesis in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Julia Csikar *Dental Public Health, University of Leeds School of Dentistry, Clarendon Way, Leeds, LS2 9LU, UK. denjic@leeds.ac.uk.
Sakina Edwebi *Dental Public Health, University of Leeds School of Dentistry, Clarendon Way, Leeds, LS2 9LU, UK.
Karen Vinall-CollierDental Public Health, University of Leeds School of Dentistry, Clarendon Way, Leeds, LS2 9LU, UK.
Alys Wyn GriffithsSchool of Medicine and Population Health, University of Sheffield, Sheffield, UK.
Reena DeviSchool of Healthcare, University of Leeds, Leeds, UK.
Judy WrightLeeds Institute of Health Sciences, University of Leeds, Leeds, UK.
Paul WilsonSchool of Health Sciences, University of Manchester, Manchester, UK.
Karen SpilsburySchool of Healthcare, University of Leeds, Leeds, UK.
Gail Va DouglasDental Public Health, University of Leeds School of Dentistry, Clarendon Way, Leeds, LS2 9LU, UK.

Funding

NIHR HSDR Oral and Dental Health NIHR131506 19/154
6 · The paper itself

Abstract

backgroundPoor oral health is common among older people living in long-term residential care environments, or care homes. For decades, various strategies have been proposed to enhance and sustain oral health within this setting. However, implementation of these strategies and interventions has been variable, with limited positive impacts on long term oral health outcomes.

aimThe aim of this overview of reviews was to identify, appraise and synthesise systematic reviews of interventions or strategies provided by care home staff to support residents with their oral health.

methodProtocol registration: PROSPERO (International Prospective Register of Systematic Reviews) registration ID: CRD42021293159. The search for systematic reviews was conducted in March 2025 in the following databases: Medline, Embase, CINAHL, PsycINFO and Epistemonikos. An analysis of overlapping primary studies within SRs was undertaken. Quality of reviews was assessed using AMSTAR2. Results were tabulated and a narrative synthesis was conducted.

resultsA total of 14 SRs were included. Most studies focused on training care staff to improve oral health knowledge and skills and just under half of included studies involved oral health care interventions testing protocols, such as regular mouth cleaning and structured regimens tailored to residents’ needs, some studies focused on resident care with dementia or cognitive impairments. Barriers to delivering oral health care were reported including time constraints, insufficient training, staff turnover, and resistance from residents. Suggestions to overcome such barriers were hands-on training to enhance staff confidence, tailored care plans for residents with impairments, managerial support for resource allocation, and fostering collaboration between care staff, family, and dental professionals.

conclusionEvidence suggests that interventions are available to improve the oral health and care for this population, particularly around training of staff. However, the detail of the intervention was poorly documented. High-quality research is needed to determine which interventions benefit oral care for older people living in care homes.

Indexed as

Dental Care for AgedHomes for the AgedNursing HomesOral HealthAgedHumansNursing Home ResidentsSystematic Reviews as TopicCare homesOlder peopleOral healthSocial careStaff-led interventions

Identifiers

PMID41063047
PMCPMC12509398

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.